[Endoscopic surgery for benign rhino-sinusal tumors].

OBJECTIVES: Evaluation of the efficiency for endoscopical transnasal surgical techniques of rhino-sinusal benign tumors.

MATERIAL AND METHOD: Retrospective study underwent between January 2005 - January 2006 in ENT&HNS Department "Sf. Maria" Bucharest, including 31 consecutive patients diagnosed with rhino-sinusal benign tumors. The patients underwent endoscopical surgical resections, with a follow-up period ranging between 14-26 months (average of 17,2 months).

RESULTS: We present the results achieved during the study over a group of patients with benign tumors from which 14 cases were inverted papillomas (45,16%), 7 cases of haemangiomas (22,58%), 3 cases of neurofibromas, and 3 cases of juvenile angiofibromas (each representing 9,67%), 2 cases of ossifying fibromas, and 2 cases of ameloblastomas (each representing 6,45%). The surgical procedures were performed under general anesthesia by the same surgeon. In the follow-up period, the patients were evaluated endoscopically and radiologicaly. The recurrence rate was 12,90% (4 cases) that required combined endoscopic and open approach: 2 cases of inverted papillomas and 2 cases of ossifying fibromas.

CONCLUSIONS: Endoscopic transnasal approach of benign rhino-sinusal tumors is a successful surgical method, with the advantage of no esthetics impairments, reduced hospitalization, and preservation of the patient's quality of life, with medium and long term results comparable with open surgery.